Fee Agreement for Representation before the Social Security Administration

ICR 202111-0960-003

OMB: 0960-0810

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2021-12-14
Supporting Statement A
2021-12-14
IC Document Collections
ICR Details
0960-0810 202111-0960-003
Received in OIRA 202109-0960-007
SSA
Fee Agreement for Representation before the Social Security Administration
Revision of a currently approved collection   No
Regular 12/14/2021
  Requested Previously Approved
36 Months From Approved 12/31/2021
5,000 600,000
1,083 120,000
0 0

The Social Security Act requires individuals who represent a claimant before the agency and want to receive a fee for their services to obtain SSA’s authorization of the fee. One way to obtain the authorization is to submit the fee agreement to the agency either in writing or through using Form SSA-1693, Fee Agreement for Representation before the Social Security Administration. Since representatives currently use fee agreements which vary in length, content, and complexity, submission of a free-form fee agreement may cause delays in SSA’s review time. Therefore, SSA encourages respondents to use Form SSA-1693 to submit the information either using the paper form or the electronically submittable e1693 through SSA’s website. SSA uses the information from the SSA-1693 to review the request and authorize any fee to representatives who seek to charge and collect a fee from a claimant. The respondents are the representatives who help claimants through the application process, and the claimants who they represent.

None
None

Not associated with rulemaking

  86 FR 47190 08/23/2021
86 FR 64585 11/18/2021
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 600,000 0 0 -595,000 0
Annual Time Burden (Hours) 1,083 120,000 0 0 -118,917 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
We increased the burden by one minute for this information collection, as the e1693 version required a slight increase in the burden per response of one minute. We based this revised burden on additional feedback from the respondents. However, the overall burden hours have decreased substantially because we are receiving fewer responses than originally expected. See #12 above for burden figures. We based our new figures on current usage data collected over the three years the form has been in circulation. We initially expected a much higher usage for this form, as our current management information data is showing a lower usage, we have updated the figures to show actual usage over the past three years. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data.

$226,967
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/14/2021


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